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  • Paper Records: $27.13 plus $0.62 per page for the cost of labor and supplies for copies provided in paper form and $25.40 for additional costs if records are maintained off-site.
  • Electronic Records: $27.13 plus $0.62 per page, or $118.85 total, whichever is less, for copies provided electronically.
  • Postage, to include packaging and delivery cost
  • Notary fee, not to exceed $2.00, if requested.
  • Source: MO Rev Stat ยง 191.227 (adjusted based on CPI in 2021)
  • https://health.mo.gov/atoz/fees.php